Healthcare Provider Details

I. General information

NPI: 1912816422
Provider Name (Legal Business Name): ALIXANDRA E. ORR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SAW MILL RD STE 2208
LAFAYETTE IN
47905-5587
US

IV. Provider business mailing address

100 SAW MILL RD STE 2208
LAFAYETTE IN
47905-5587
US

V. Phone/Fax

Practice location:
  • Phone: 317-935-6547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number99137963A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: